Oklahoma State Department of Health 2
STATE BOARD OF HEALTH ANNUAL RETREAT
SFY 2015 BUDGET & BUSINESS PLAN UPDATE
JULIE COX-KAIN, M.P.A.
Oklahoma State Department of Health 3
SFY 2015 BUDGET
2015 Funding by Public Health Priority
1 - Public Health Imperatives $136,394,416
2 - Priority Public Health Services for the Improvement of Health Outcomes $55,874,058
3 - Prevention Services and Wellness Promotion $147,446,093
4 - Assure Access to Competent Personal, Consumer, and Health Services $4,062,045
5 - Science and Research $2,427,472
6 - Public Health Infrastructure - Program Support Services $44,531,399
7 - Public Health infrastructure - Administration $21,706,545
Total $412,442,028
OSDH SFY 2014 - 2015 Budget Summary Comparison
Revenue Source 2014 Budget 2014 % of
Budget 2015 Budget
2015 % of Budget
Federal $222,622,449 55.01% $233,653,508 56.65%
Revolving (Includes Local Millage) $119,090,718 29.43% $118,356,044 28.70%
State $62,983,682 15.56% $ 60,432,476 14.65%
Total $404,696,849 100% $412,442,028 100%
Expenditure Category 2014 Budget 2014 % of
Budget 2015 Budget
2015 % of Budget
Personnel $144,029,554 35.59% $152,815,140 37.05%
Professional Services $65,739,335 16.24% $54,431,333 13.20%
Travel $5,382,438 1.33% $4,670,984 1.13%
Equipment $1,761,527 0.44% $3,294,948 0.80%
Local Government Subdivisions $14,664,362 3.62% $16,401,116 3.98%
Trauma Distributions $28,001,600 6.92% $21,500,000 5.21%
WIC Food Cost $65,550,000 16.20% $71,550,000 17.35%
Other Expenditures $79,568,033 19.66% $87,778,507 21.28%
$130,299,033 32%
$60,433,447 15%
$132,615,412 33%
$4,278,508 1%
$6,132,597 2%
$45,265,993 11%
$25,671,859 6%
1 - Public HealthImperatives
2 - Priority Public HealthServices for theImprovement of HealthOutcomes
3 - Prevention Servicesand Wellness Promotion
4 - Assure Access toCompetent Personal,Consumer, and HealthServices
5 - Science and Research
6 - Public HealthInfrastructure - ProgramSupport Services
7 - Public HealthInfrastructure -Administration
$136,394,416 33%
$55,874,058 13%
$147,446,093 36%
$4,062,045 1%
$2,427,472 1%
$44,531,399 11%
$21,706,545 5%
1 - Public Health Imperatives
2 - Priority Public HealthServices for theImprovement of HealthOutcomes
3 - Prevention Services andWellness Promotion
4 - Assure Access toCompetent Personal,Consumer, and HealthServices
5 - Science and Research
6 - Public HealthInfrastructure - ProgramSupport Services
7 - Public HealthInfrastructure -Administration
SFY – 2014 $404,696,849
SFY – 2015 $412,442,028
OSDH Budget Comparison By Year and Priority
Oklahoma State Department of Health 7
BUSINESS PLAN UPDATE
National
3 Core Functions/ 10 Essential Services
Turning Point PM Framework
NPHPSP
Healthy People 2010/2020
United Health Foundation &
Commonwealth Fund Reports
State Agency
Strategic Plan
Tool – Strategic Map
Strategic Targeted Action Teams/Plans
Tool – Step Up
Core Public Health Priorities Document
Tool – Business Plan
Service Area
& County Health
Department
Community Health Improvement Plans
Tool – Mobilizing for Action through Planning and
Partnerships (MAPP) Turning Point & Step
UP
Individual Employee
Accreditation
Oklahoma Health Improvement Plan
Tool - State of the State’s Health Report
Individual Contribution
Tool – Agency Individual
Performance Management
Process (PMP) Evaluations
Service Area/CHD Strategic Plans
Tool – Step Up
Community
OKLAHOMA STATE DEPARTMENT OF HEALTH PERFORMANCE MANAGEMENT MODEL
QUALITY IMPROVEMENT
Oklahoma State Department of Health 9
AGENCY PRIORITIES Imperatives
• Mandates
• Emergency Preparedness & Response
• Infectious Disease Control
Oklahoma Health Improvement Plan
• Tobacco
• Obesity
• Children’s Health
Other Public Health Priorities
• Preventable Hospitalizations
• Immunizations
• Motor Vehicle Crash Deaths
• Rx Drug Deaths (Added in 2013 as a Core Priority)
Oklahoma State Department of Health 10
BUSINESS PLAN CATEGORIES
• Legal
• Policy
• Information Technology
• Human Resources
• Financial Resources
• Communication
• Building & Internal Services
• Performance Management
• Data Collection & Analysis
2014 BUSINESS PLAN UPDATE
MandatesN = 19
OHIP PrioritiesN = 35
Other PH PrioritiesN = 29
All ObjectivesN = 83
94.93% 57.14%
65.51% 68.67%
5.07%
42.86% 34.49% 31.33%
In Process
Complete
SFY ‘13 Completion Update Mandates – 45% OHIP - 35% PH Priorities – 67% All – 55%
Oklahoma State Department of Health 12
• Completed network transition/upgrade • Completed classification/compensation process • Career progression reauthorized
• Awarded and implementing LIMS • Negotiated enterprise service bus (with eMPI) as a statewide
contract to enable shared service • Signed contracts with private insurers and established private
billing contract (BC/BS & Community Care)
• Finalized Repair and Renewal plans for majority of central office in August 2014
SFY 2014 ACCOMPLISHMENTS
Building Issues
Cooling Coil
Chilled Water Pump 1972
Failed Coil
Tower Air Handler Unit from 1972
Water Valves
Water Valve
Leak 1st Floor
Failed Coil
Leak 1st Floor
Basement Lab
Coil Flooding Basement
Oklahoma State Department of Health 14
SFY2015 BUSINESS PLAN PRIORITIES • Complete mechanical backbone upgrade
• New Public Health Laboratory
• Implement ESB/eMPI in OSDH and as an HHS shared service
• Finalize OSIIS and Electronic Billing Projects
• Requirements for PH EHR (possible shared services)
• Integrate OMES DRP to OSDH COOP
• Fully optimize network and plan to connect to state fiber
• Develop and implement strategies to address recruitment, retention, workforce development, and employee wellness with an emphasis on data collection and analyses, customer satisfaction, and enhanced communication
Oklahoma State Department of Health 15
EMPLOYEE ENGAGEMENT
Oklahoma State Department of Health 16
EMPLOYEE ENGAGEMENT SURVEY • Survey conducted by Durand Crosby, COO of ODMHSAS as part
of a research project for dissertation
• Compared OSDH with other state agencies and a non-profit organization
• Survey measured employee engagement and related variables including the following: o Public service motivation o Perceived organizational image o Organizational commitment o Organization identification o Meaningfulness of work o Job satisfaction
17
Organizational Commitment
Organizational Identification
RESEARCH MODEL
Public Service Motivation
Perceived External Image
(May et al., 2004)
Employee Engagement
Meaningfulness
Job Satisfaction
Engagement as a “state”
RESULTS - ENGAGEMENT
18
OSDH Engagement Compared to Agency A & Gallup Survey (2012)
0% 20% 40% 60%
Disengaged
Neither Engaged norDisengaged
Engaged
Agency A
Health
Gallup
30%
18%
45%
30%
41%
14%
18%
52%
52%
Employee engagement is described as the degree to which an individual is attentive and absorbed in the performance of his or her job (Bakker, 2011).
RESULTS – JOB SATISFACTION
0
10
20
30
40
50
60
70
Satisfied Not Satisfied Neutral
Health
Agency B
PrivateNon-Profit
9%
12%
7%
34%
28%
63% 60%
59%
28%
Job Satisfaction is defined as the extent to which a persons hope, desires and expectations about the employment he/she is engaged in are fulfilled.
RESULTS – ORGANIZATIONAL IDENTIFICATION
49%
16%
35%
43%
11%
46% 48%
16%
35%
49%
10%
41%
Agree Disagree Neither Agree nor disagree
Health Agency A Agency B Private Non-Profit
Organizational identification is the extent to which a person identifies themselves with the organization: a possessing or sharing of organizational values.
RESULTS - ORGANIZATIONAL COMMITTMENT
36%
29%
45%
50%
15%
34%
41%
25%
35%
46%
13%
41%
Committed Not Committed Neutral
Health Agency A Agency B Private Non-Profit
Organizational commitment is a persons psychological attachment to the organization.
Oklahoma State Department of Health 22
RESULTS - OVERVIEW • OSDH scores for several important variables (e.g., engagement, public
service motivation (PSM), and job satisfaction) are above normed averages
• All tested variables (PSM, image, and meaningfulness) predicted engagement
• Engagement predicted commitment, identification, and job satisfaction
• OSDH scored high for job satisfaction
• OSDH scored highest on perceived reputation among state agencies tested
• OSDH scored highest (tied) for PSM among entities tested
• OSDH scored well-above norm for engagement (second highest)
• OSDH scored surprising low for commitment (36%)
Oklahoma State Department of Health 23
WORKFORCE DEVELOPMENT AND
SUPPORT
Oklahoma State Department of Health 24
RECRUITMENT Recruitment materials and booth
display Quarterly advertisements in the
Oklahoma Nurse Visual Imaging contract Alerts when job openings are
posted Job postings on agency approved
social media outlets
Path Forward . . . • Online Recruiters “Talent Toolkit” • Online Applicant Resource Center • Electronic Application • Applicant Tracking and
Demographics • Career Maps
RETENTION
12.90% 13.10%
11.70%
15.50% 15.30%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
Fiscal Year 2012 Fiscal Year 2013 Fiscal Year 2014
Turnover Rates: OSDH to State of Oklahoma
Classified and Unclassified Employees
OSDH State of Oklahoma
FY 2014 Data
Unavailable
10% Goal
Notes: Turnover = Number of separations/beginning headcount. Separations includes resignations, transfers out, retirements, discharges, and deaths. FY 2012 and FY 2013 data for OSDH/State of Oklahoma was provided by HCM. FY 2014 turnover rate is as of June 30, 2014, and is subject to change as processing of end-of-fiscal year transactions is completed. Source: PeopleSoft and HCM’s Oklahoma State Workforce Data.
0.001.002.003.004.005.006.007.008.009.0010.0011.0012.0013.0014.00
0.00%5.00%
10.00%15.00%20.00%25.00%30.00%35.00%40.00%45.00%
Turnover Rates Within 2 Years of Entry on Duty with OSDH and Average Years
of Service
Fiscal Year 2012
Fiscal Year 2013
Fiscal Year 2014
OSDH Average Years Service Fiscal Year 2013
OSDH Average Years Service Fiscal Year 2014
RETENTION
2012 Climate Survey Area of Focus Focus areas: negative responses by > 33% or positive responses by < 33% of respondents (top 3 of 5 areas of focus) There are good opportunities here to advance to a better job. The pay rate for my job has been properly set. Pay increases are administered fairly and consistently.
• Average Response Rate of 30.1% Exit Survey/Interviews (FY 2012, 2013, and 2014)
• Top Reasons for Leaving
o Retirement (FY 2012, 2014) o Promotional Opportunities (FY
2012, 2013, 2014) o Wages (FY 2012, 2013) o Work Environment (FY 2014) o Family (FY 2013)
Response Rate
• The survey was distributed to 2,487 employees
• A total of 1,494 employees completed the survey with a 60% response rate
• A total of 1,740 employees completed the survey in 2012 with a response rate of 75%
View of Job: Job Advancement
* Indicates < 9%
2012
2014
• 7.5 percent increase in positive responses
• 7.4 percent decrease in negative responses
• No change in neutral responses
View of Job: Pay Rate Properly Set
* Indicates < 9%
2012
2014
• 15 percent increase in positive responses
• 19.1 percent decrease in negative responses
• 4.1 percent increase in neutral responses
View of Job: Pay Increases
* Indicates < 9%
2012
2014
• Survey question from 2012 was divided into two questions for 2014 survey
• Increase in positive response rates for both questions
• Decrease in negative responses for both questions
• Increase in neutral responses for both questions
Workforce Development
Oklahoma State Department of Health 32
WORKFORCE DEVELOPMENT Oklahoma Public Health
Leadership Institute
Quarterly Leadership Series
Governor’s Executive Development Program for State Officials
Path Forward . . . • Career Map Descriptions • Resume/Interview Prep Course • Cross-Training Program • Mentoring Program • Knowledge Transfer Process
“OPHLI is an excellent program designed to improve leadership skills and develop confidence. The networking
opportunity is particularly valuable, and the projects have resulted in improvements within the
organization. [I] highly recommend it.”
“…OPHLI … helped me better understand my role as a leader in a public health agency and provided great
resources for me to complete my job as well as the new position I now hold.”
Oklahoma State Department of Health 33
WELLNESS New fitness equipment Wellness Committees Nutrition Labeling Employee Wellness Center Wellness Activities and Challenges
Path Forward . . .
• Fitness Center Group Activities • Wellness Policy • Lunch N’ Learns • Tobacco Cessation Classes • Online Wellness Resource Center • Health Needs Assessment • Ongoing Promotion of Employee
Assistance Program
Oklahoma State Department of Health 34
CUSTOMER SERVICE & COMMUNICATION
Agency Wide Customer Service Survey
Customer Service Meetings Updates Tips & Tools Just the Facts Sheets Brown Bag Discussion Forums Site Visits Job Shadowing
Path Forward . . . • Specific Strategies for Improvement
Based on Survey Feedback • Topic Based Resource Center on the
OSDH Intranet
Questions?